Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $90.00 / $265.00	Facility	26	$90.00	$90.00	$265.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $265.00 / $265.00	Professional	26	$44.68	$265.00	$265.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.80 / $39.00 / $78.61	Professional	26	$31.80	$39.00	$78.61
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.86 / $70.31 / $106.69	Professional	26	$23.86	$70.31	$106.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $35.65 / $84.52	Professional	26	$16.25	$35.65	$84.52
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.05 / $32.10 / $43.34	Professional	26	$4.05	$32.10	$43.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $38.40 / $67.37	Professional	26	$26.37	$38.40	$67.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $130.19 / $141.50	Facility	26	$68.92	$130.19	$141.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $183.60 / $183.60 / $230.18	Professional	26	$183.60	$183.60	$230.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $35.65 / $84.11	Professional	26	$16.25	$35.65	$84.11
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $101.51 / $101.51 / $101.51	Professional	26	$101.51	$101.51	$101.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $33.95 / $85.63	Professional	26	$25.01	$33.95	$85.63